SYSTEMATIC REVIEW OF STRESS AND BURNOUT INTERVENTIONS AMONG U.S. HEALTHCARE PROFESSIONALS USING ADVANCED COMPUTING APPROACHES

Abstract

This systematic review investigates how advanced computing technologies are transforming the detection and management of stress and burnout among U.S. healthcare professionals, conditions that remain pervasive and systemically embedded within the nation’s healthcare infrastructure. Adhering to PRISMA guidelines, the study systematically analyzed 92 empirical works published between 2013 and 2024 across databases including PubMed, Scopus, Web of Science, IEEE Xplore, ScienceDirect, and PsycINFO, emphasizing interventions utilizing artificial intelligence (AI), machine learning (ML), wearable sensors, predictive analytics, and digital therapeutics. The synthesis revealed that burnout prevalence remains critically high, particularly among nurses and frontline clinicians, driven by workload intensity, emotional fatigue, and administrative burden. Machine learning and AI-based predictive models demonstrated accuracies between 78% and 94% in identifying burnout risk through multimodal data integration, encompassing electronic health records, physiological signals, and communication patterns. Wearable and biosignal monitoring systems, capturing heart rate variability, electrodermal activity, and sleep metrics, achieved approximately 85% accuracy in detecting stress and enabled real-time interventions that reduced physiological arousal. AI-driven behavioral interventions, such as adaptive cognitive-behavioral therapy platforms, chatbots, and virtual reality relaxation modules, reduced self-reported stress levels by nearly 28% and enhanced emotional regulation and resilience. Institutional analytics and decision-support systems using predictive dashboards improved workforce retention by up to 22%, linking data-informed workload management with organizational well-being. Ethical implementation emerged as a critical determinant of technology acceptance, emphasizing compliance with HIPAA standards, transparency in data use, informed consent, and mitigation of algorithmic bias. Collectively, the findings underscore a paradigm shift from reactive, self-reported burnout management to proactive, computationally enabled frameworks that merge predictive intelligence with real-time behavioral support. By embedding these technologies within healthcare infrastructures, institutions can move toward sustainable, ethically governed systems that prioritize psychological well-being alongside operational efficiency, marking a transformative advance in the integration of digital health analytics into occupational wellness and resilience management.